Hospice and Palliative Care

Connor, Stephen R.

doi:10.4324/9780203886151

Cited by 51 publications

(54 citation statements)

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“…The negative influence of competition on the provision of care for children may be because providing expensive hospice care to children draws critical financial and human resources from the main focus of the hospices’ business (29). Hospice care for the elderly represents an important revenue stream because of Medicare funding and the potential for extended lengths of stay in hospice (13). Hospices generally compete among themselves for these admissions.…”

Section: Discussionmentioning

confidence: 99%

“…Hospices generally compete among themselves for these admissions. In highly competitive markets, hospices may allocate financial and human resources to marketing for and providing additional services (e.g., Meals-on-Wheels) aimed at attracting elderly patients (13). Services that do not contribute to the business’s main focus, such as providing hospice care for children, may be perceived by hospice administrators as a drain on resources that creates a competitive disadvantage.…”

Section: Discussionmentioning

confidence: 99%

“…At the same time, hospices face resource constraints that influence their ability to provide hospice care. For example, hospices commonly rely on private donations to subsidize care for high-cost patient populations, particularly children (13). Without these funding sources, hospices may not have the resources to provide pediatric hospice care.…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated With the Provision of Hospice Care for Children

Lindley

Mark

Lee

et al. 2013

Journal of Pain and Symptom Management

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Context Children at end of life often lack access to hospice care at home or in a dedicated facility. The factors that may influence whether or not hospices provide pediatric care are relatively unknown. Objectives The purpose of this study was to understand the institutional and resource factors associated with provision of pediatric hospice care. Methods This study used a retrospective, longitudinal design. The main data source was the 2002 to 2008 California State Hospice Utilization Data Files. The sample size was 311 hospices or 1368 hospice observations over seven years. Drawing on institutional and resource dependence theory, this study used generalized estimating equations to examine the institutional and resource factors associated with provision of pediatric hospice care. Interaction terms were included to assess the moderating effect of resource factors on the relationship between institutional factors and provision of care. Results Membership in professional groups increased the probability (19%) of offering hospice services for children. Small- (−22%) and medium-sized (−11%) hospices were less likely to provide care for children. The probability of providing pediatric hospice care diminished (−23%) when competition increased in the prior year. Additionally, small size attenuated the accreditation-provision relationship and medium size magnified the membership-provision relationship. Conclusion Professional membership may promote conformity to industry standards of pediatric care and remove the unknowns of providing hospice care for children. Hospices, especially medium-sized hospices, interested in developing or expanding care for children may benefit by identifying a pediatric champion to join a professional group.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors Associated With the Provision of Hospice Care for Children

Lindley

Mark

Lee

et al. 2013

Journal of Pain and Symptom Management

View full text Add to dashboard Cite

show abstract

“…[8][9][10][11] Nonprofit hospices may generally be more responsive to the unique needs of a local community, whereas for-profit hospices may tend to focus on core income-producing services. 19 In addition, nonprofit hospices are typically reliant on their communities for volunteers and funding and do not have stockholders to satisfy or profits to generate. 19 Thus, they can more easily play a critical role in providing a community benefit than for-profit hospices.…”

Section: Discussionmentioning

confidence: 99%

“…19 In addition, nonprofit hospices are typically reliant on their communities for volunteers and funding and do not have stockholders to satisfy or profits to generate. 19 Thus, they can more easily play a critical role in providing a community benefit than for-profit hospices. This justifies the tax benefits they enjoy given their provision of care to underserved and vulnerable populations, including infants.…”

Section: Discussionmentioning

confidence: 99%